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A previously fit and well 28-year-old man was referred by his general practitioner to a nearby NHS walk-in centre for an ECG. He presented with a 1-day history of mild pleuritic chest discomfort and dyspnoea while at work. Simple analgesics alleviated the discomfort and improved the dyspnoea slightly. He had a BP of 121/78, a HR of 66 bpm and had an oxygen saturation of 98%. The ECG was electronically sent to a cardiologist based at …
Contributors KMWL and FSN conceived and drafted the manuscript. PBL made the diagnosis on ECG and referred the patient. SP provided the clinical care and images of patient.
Funding British Heart Foundation (PG/15/20/31339).
Competing interests None.
Patient consent Obtained.
Provenance and peer review Not commissioned; internally peer reviewed.